Provider Demographics
NPI:1720325343
Name:INMAN, LUREA (COTA/L)
Entity type:Individual
Prefix:
First Name:LUREA
Middle Name:
Last Name:INMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9150 W INDIAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-2384
Mailing Address - Country:US
Mailing Address - Phone:538-748-0787
Mailing Address - Fax:623-232-3250
Practice Address - Street 1:16844 N 59TH AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-1118
Practice Address - Country:US
Practice Address - Phone:480-787-5387
Practice Address - Fax:623-209-8822
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ050032225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics